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Acil Serviste Ketamin Uygulaması ile Redükte Edilen Total Rektal Prolapsus

Year 2012, Volume: 3 Issue: 4, 0 - 0, 01.10.2012

Muzaffer Emre Kesim Yahya Ayhan Acar İbrahim Arzıman Ümit Kaldırım Cengiz Kaya Salih Müjdat Balkan

Abstract

Total rektal prolapsus (prosidensia) rektumun bütün katlarının
anal kanaldan sarktığı klinik durumdur. Etyolojisi tam olarak anlaşılamamıştır. Nadir bir durumdur ve komplikasyonları azaltmak
için hastalara acil serviste erken tanı konmalı ve prolapsus iskemi
oluşmadan önce elle redükte edilmelidir. Elle redüksiyonun başarılamadığı durumlar için literatürde bazı teknikler tanımlanmıştır.
Prosedürel sedasyon ve analjezi işlemi, hastanın konforunu ve elle
redüksiyon başarı oranını tek başına veya bu tekniklere ek olarak
kullanıldığı zaman artırabilir. Bu yazıda acil serviste intravenöz ketamin ile prosedürel sedasyon sonrası redükte edilen total rektal
prolapsus olgusunu sunduk.

Keywords

Rektal prolapsus ketamin acil servis

References

  • Brian EB. Anorectal disorders. In Judith E. Tintinalli JE, MD, MS, Editor. Tintinalli’s Emergency Medicine. 7th ed. New York: McGraw-Hill; 2011: p.597-8.
  • Temiz M, Aslan A, Erdoğmuş S, Canbolat E. Rektumda yırtık ve aşırı kanamaya sebep olan inkarsere rektal prolapsus. Bakırköy Tıp Dergisi 2008; 4: 166-9.
  • O’Brien DP 4th. Rectal prolapse. Clin Colon Rectal Surg 2007; 20: 125-32. [CrossRef]
  • Sungurtekin U, Sungurtekin H. Srangüle rektal prolapsus- Nadir görülen bir rektal prolapsus komplikasyonu. Kolon Rektum Hast Derg 2008; 18: 184-6.
  • Sener S, Eken C, Schultz CH, Serinken M, Ozsarac M. Ketamine with and without midazolam for emergency department sedation in adults: a randomized controlled trial. Ann Emerg Med 2011; 57: 109-16. [CrossRef]
  • Miner JR, Gray RO, Bahr J, Patel R, McGill JW. Randomized clinical trial of propofol versus ketamine for procedural sedation in the emergency department. Acad Emerg Med 2010; 17: 604-11. [CrossRef] 112

Total Rectal Prolapse Reduced via Ketamine Administration in the Emergency Department

Year 2012, Volume: 3 Issue: 4, 0 - 0, 01.10.2012

Muzaffer Emre Kesim Yahya Ayhan Acar İbrahim Arzıman Ümit Kaldırım Cengiz Kaya Salih Müjdat Balkan

Abstract

Total rectal prolapse (procidencia) is a clinical state in which all layers of the rectum protrude through the anal canal. The etiology is not completely understood. It is an uncommon situation and patients must be diagnosed early; cases should be reduced manually in the emergency department until ischemia occurs in order to decrease complications. Some additional techniques have been presented in the literature in cases of failure using manual reduction. Procedural sedation and analgesia procedure can improve patient comfort and the success rate of manual reduction alone or in addition to these techniques. In this case report, we present a total rectal prolapse reduced after procedural sedation via intravenous ketamine administration in the emergency department

Keywords

Rectal prolapse ketamine emergency service

References

  • Brian EB. Anorectal disorders. In Judith E. Tintinalli JE, MD, MS, Editor. Tintinalli’s Emergency Medicine. 7th ed. New York: McGraw-Hill; 2011: p.597-8.
  • Temiz M, Aslan A, Erdoğmuş S, Canbolat E. Rektumda yırtık ve aşırı kanamaya sebep olan inkarsere rektal prolapsus. Bakırköy Tıp Dergisi 2008; 4: 166-9.
  • O’Brien DP 4th. Rectal prolapse. Clin Colon Rectal Surg 2007; 20: 125-32. [CrossRef]
  • Sungurtekin U, Sungurtekin H. Srangüle rektal prolapsus- Nadir görülen bir rektal prolapsus komplikasyonu. Kolon Rektum Hast Derg 2008; 18: 184-6.
  • Sener S, Eken C, Schultz CH, Serinken M, Ozsarac M. Ketamine with and without midazolam for emergency department sedation in adults: a randomized controlled trial. Ann Emerg Med 2011; 57: 109-16. [CrossRef]
  • Miner JR, Gray RO, Bahr J, Patel R, McGill JW. Randomized clinical trial of propofol versus ketamine for procedural sedation in the emergency department. Acad Emerg Med 2010; 17: 604-11. [CrossRef] 112
There are 6 citations in total.

Details

Other ID JA98AK43CD
Journal Section Case Report
Authors

Muzaffer Emre Kesim This is me

Yahya Ayhan Acar This is me

İbrahim Arzıman This is me

Ümit Kaldırım This is me

Cengiz Kaya This is me

Salih Müjdat Balkan This is me

Publication Date October 1, 2012
Submission Date October 1, 2012
Published in Issue Year 2012 Volume: 3 Issue: 4

Cite

APA Kesim, M. E., Acar, Y. A., Arzıman, İ., Kaldırım, Ü., et al. (2012). Total Rectal Prolapse Reduced via Ketamine Administration in the Emergency Department. Journal of Emergency Medicine Case Reports, 3(4).
AMA Kesim ME, Acar YA, Arzıman İ, Kaldırım Ü, Kaya C, Balkan SM. Total Rectal Prolapse Reduced via Ketamine Administration in the Emergency Department. Journal of Emergency Medicine Case Reports. October 2012;3(4).
Chicago Kesim, Muzaffer Emre, Yahya Ayhan Acar, İbrahim Arzıman, Ümit Kaldırım, Cengiz Kaya, and Salih Müjdat Balkan. “Total Rectal Prolapse Reduced via Ketamine Administration in the Emergency Department”. Journal of Emergency Medicine Case Reports 3, no. 4 (October 2012).
EndNote Kesim ME, Acar YA, Arzıman İ, Kaldırım Ü, Kaya C, Balkan SM (October 1, 2012) Total Rectal Prolapse Reduced via Ketamine Administration in the Emergency Department. Journal of Emergency Medicine Case Reports 3 4
IEEE M. E. Kesim, Y. A. Acar, İ. Arzıman, Ü. Kaldırım, C. Kaya, and S. M. Balkan, “Total Rectal Prolapse Reduced via Ketamine Administration in the Emergency Department”, Journal of Emergency Medicine Case Reports, vol. 3, no. 4, 2012.
ISNAD Kesim, Muzaffer Emre et al. “Total Rectal Prolapse Reduced via Ketamine Administration in the Emergency Department”. Journal of Emergency Medicine Case Reports 3/4 (October 2012).
JAMA Kesim ME, Acar YA, Arzıman İ, Kaldırım Ü, Kaya C, Balkan SM. Total Rectal Prolapse Reduced via Ketamine Administration in the Emergency Department. Journal of Emergency Medicine Case Reports. 2012;3.
MLA Kesim, Muzaffer Emre et al. “Total Rectal Prolapse Reduced via Ketamine Administration in the Emergency Department”. Journal of Emergency Medicine Case Reports, vol. 3, no. 4, 2012.
Vancouver Kesim ME, Acar YA, Arzıman İ, Kaldırım Ü, Kaya C, Balkan SM. Total Rectal Prolapse Reduced via Ketamine Administration in the Emergency Department. Journal of Emergency Medicine Case Reports. 2012;3(4).